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Individual
JORDAN LE BLANC
Active
Individual
JORDAN LE BLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
118552
CA
1041S0200X
School Social Worker
118552
CA
Other
Enumeration date
12/10/2018
Last updated
10/26/2023
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